GIL BALEVA MANALO
Licensed Physician Controlled Substance
Illinois 336057318 Canceled
This Illinois license was held by GIL BALEVA MANALO. The license is no longer active. It was granted on 12/02/1997 and expired on 07/31/2002
LICENSE DETAILS
- License Number: 336057318
- Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE
- Status: Canceled
- Date Granted: 12/02/1997 (over 26 years ago)
- Expiry Date: 07/31/2002 (over 21 years ago)
LOCATIONS
A Address
EAST SAINT LOUIS, IL 62201